Organization
DIVINE MERCY TENDER LOVING CARE (DMTLC) LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NKEM B CHUKWUMEZIE (FOUNDER, PRESIDENT, CEO)
(412) 860-8445
Entity
Organization
Contact information
Practice address
21451 JAMAICA AVE, QUEENS VILLAGE, NY 11428-1733
(347) 894-8949
(347) 894-8949
Mailing address
PO BOX 200645, SOUTH OZONE PARK, NY 11420-0645
(347) 894-8949
(347) 894-8949
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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